Segmental colonic resection is commonly performed in patients with colorectal Crohn's disease.
Dr Bemelman and colleagues from the Netherlands evaluated the outcome after segmental colonic resection and to define risk factors for re-resection.
The researchers evaluated consecutive patients who had an initial segmental colonic resection for Crohn's colitis between 1987 and 2000.
Patients who underwent ileocolonic resection were excluded.
The team assessed patient-, disease- and treatment-related variables as possible risk factors for disease recurrence.
|20 of 30 patients with 1 re-resection underwent total procto-colectomy|
|British Journal of Surgery|
The research team studied 91 patients with a median follow-up of 8 years.
The team found that 30 patients had at least 1 re-resection, of whom 20 finally underwent total procto-colectomy.
Female sex and a history of perianal disease were identified as independent risk factors for re-resection.
The researchers observed that 40 of the 91 patients had a stoma at the end of the study period.
Of the 30 patients who had re-resection, 24 finally had a stoma.
Dr Bemelman's team concluded, “Segmental resection for Crohn's colitis is justified.”
“Recurrence is more frequent in women and in those with a history of perianal disease.”